Clinical image of short saphenous varicose vein mimicking neuroma

Szmyd, Bartosz; Jekimov, Ruslan; Wysiadecki, Grzegorz; Jabbar, Redwan; Radek, Maciej

doi:10.20452/pamw.16215

Cited by 1 publication

(3 citation statements)

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“…With new methods, such as MRI, we are able to distinguished even rare cases of pathologies within the popliteal fossa, such as neuromas of the tibial or common fibular nerve, benign thrombus in the SVV wall or thrombus in a varicose SSV. The recent article by Szmyd et al 49 nicely presents the possibility of a SSV varicosity mimicking a neuroma if the diagnosis is based only on MRI. Therefore, we have to consider the anatomical complexity and as the authors, we should prefer usage of combination of imaging methods in unusual cases.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, we have to consider the anatomical complexity and as the authors, we should prefer usage of combination of imaging methods in unusual cases. 49…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, we have to consider the anatomical complexity and as the authors, we should prefer usage of combination of imaging methods in unusual cases. 49 The pathologies in the popliteal fossa can commonly refer to the topographical anatomy of the SSV and nerves. According to the Schweighofer, the SSV is in the popliteal fossa located usually medially to the medial sural cutaneous nerve (87.95%), medially to the common fibular nerve (97.59%) and medially to the tibial nerve in 63.86%.…”

Section: Discussionmentioning

confidence: 99%

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Variations of the Saphenopopliteal Junction: An Ultrasonography Study in a Young Population, A Systematic Review and A Meta-Analysis

et al. 2023

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Saphenopopliteal junction classification has been developing, but still the precise knowledge of junction type is crucial for proper surgical treatment. We examined the saphenopopliteal junction by duplex venous scanning in 244 extremities in healthy volunteers (median age: 23.0 years, 83 females, 39 male) and performed a meta-analysis of 13 studies focusing on structural types of the junction. According to Schweighoffer’s classification we distinguished 5 types of the junction and we subdivided type A according to Cavezzi’s classification of gastrocnemial veins termination into two. We added type F (small saphenous vein-SSV terminates into popliteal vein-PV), described especially in cadaveric studies. In our study, the most frequent type was A1 (96 cases), followed by C (70), B (48), A2 (20), E (6), D (3) and F (0). The pooled prevalence estimate for types A + B + D + E was 54.7% (95% CI 40.9–69.6%) and for type C 24.4% (95% CI 19.3–29.5%), whereas in 17.1% (95% CI 6.3–27.9%) of cases, the SSV terminated in the PV with no cranial extension present. The knowledge of the saphenopopliteal junction and its variations prevalence can help clinicians to quickly identify the real type of the junction during routine examination. In mid-European population, the main type is A1 and worldwide type A.

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Section: Discussionmentioning

confidence: 99%

“…Therefore, we have to consider the anatomical complexity and as the authors, we should prefer usage of combination of imaging methods in unusual cases. 49…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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